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Medicaid State Plan Amendments

A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.

When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.

Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.

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Showing 81 to 90 of 522 results
Transmittal Number: CT-21-0037
State: Connecticut
Summary: Effective October 1, 2021 this amendment removes federally optional liens and recoveries. This amendment updates third-party liability section to reflect current law and practice with respect to the BBA of 2018 and it removes the language regarding the cost effectiveness premium purchase program for group health insurance that is authorized under section 1906 of the SSA.
Approval Date:
Effective Date:
Topics:
  • Third Party Liability
Links:
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Transmittal Number: CT-22-0004
State: Connecticut
Summary: Documented the increase in standards for Connecticut’s optional state supplement program.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: CT-22-0008
State: Connecticut
Summary: 1)Incorporates federal HCPCS updates to Medical Clinic and Ambulatory Surgical Center fee schedules to remain compliant with

HIPAA; 2. Adds payment for specified drugs on Family Planning Clinic fee schedule; 3. As federally required by approved state

plan, updates physician-administered drug rates on Dialysis Clinic, Behavioral Health Clinic, and Medical Clinic fee schedules.
Approval Date:
Effective Date:
Topics:
  • Program Administration
  • Financing & Reimbursement
  • Physician Administered Drugs
Links:
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Transmittal Number: CT-22-0005
State: Connecticut
Summary: This plan makes several updates under the physician and audiology services.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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Transmittal Number: GU-22-0002
State: Guam
Summary: This SPA will update Third Party Liability (TPL) requirements as authorized under the Bipartisan Budget Act (BBA) of 2018 and the Medicaid Services Investment and Accountability Act (MSIAA) of 2019.
Approval Date:
Effective Date:
Topics:
  • Third Party Liability
Links:
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Transmittal Number: CT-22-0003-A
State: Connecticut
Summary: This time limited disaster relief SPA seeks to update the effective dates, scope, and details consistent with the state's ARPA sec. 9817 HCBS spending plan, by implementing coverage and payment changes to section 1915. Connecticut Home Care Program for Elders (CHCPE) services.
Approval Date:
Effective Date:
Topics:
  • Disaster Relief
  • Benefits
  • Home and community based services
  • Reimbursement
Links:
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Transmittal Number: CT-22-0011
State: Connecticut
Summary: Effective January 1, 2022, SPA CT-22-0011 amends the Alternative Benefit Plan to implement mandatory coverage of routine patient costs furnished in qualifying clinical trials, as required by sections 1905(a)(30) and 1905(gg) of the Social Security Act.
Approval Date:
Effective Date:
Topics:
  • ABP
Links:
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Transmittal Number: CT-22-0006
State: Connecticut
Summary: Makes updates to the radiology and laboratory fee schedules.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: CT-22-0009
State: Connecticut
Summary: Incorporates the January 2022 federal Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the dental fee schedules for adults and children.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Dental
Links:
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Transmittal Number: CT-22-0007
State: Connecticut
Summary: This plan incorporates the 2021 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the medical surgical supply fee schedule.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
SHARE THIS MEDICAID STATE PLAN AMENDMENT